Surgical treatment of sacral perineural cysts. A case report

Kobe J Med Sci. 1999 Dec;45(6):245-50.


Most of the perineural cysts (Tarlov's cysts) are asymptomatic. They are usually diagnosed incidentally, and a specific treatment is not necessary. They should be operated on, only if they produce progressive or disabling symptoms and/or sign clearly attributable to them. Several reports have been made regarding their sign and symptom, neurological and radiological features. This is a report emphasizing on their surgical indication and surgical treatment. We reported a 48 year-old woman who underwent surgery because of the symptomatic perineural cyst. It is concluded that the total excision of the perineural cyst is not necessary and a partial resection with a resultant reduction in the cyst size results in a favourable outcome.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Follow-Up Studies
  • Humans
  • Laminectomy / methods
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / pathology
  • Magnetic Resonance Imaging
  • Middle Aged
  • Pain Measurement
  • Sacrum / diagnostic imaging
  • Sacrum / pathology
  • Spinal Nerves / pathology
  • Spinal Nerves / surgery
  • Tarlov Cysts / diagnosis*
  • Tarlov Cysts / surgery*
  • Tomography, X-Ray Computed